REVITALIZE PHYSICAL THERAPY PLLC
NPI 1114894417
Clinic/Center - Physical Therapy in Vancouver, WA

Active since October 21, 2025
2102 E MCLOUGHLIN BLVD, VANCOUVER, WA 98661(360) 448-3544 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revitalize Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIZE PHYSICAL THERAPY PLLC (NPI 1114894417) is a healthcare organization registered as a physical therapy in Vancouver, Washington and active in the NPI registry since October 2025. The organization lists Ryan Iggulden, Owner, as its authorized official.

NPPES Registry Identity

NPI1114894417
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameREVITALIZE PHYSICAL THERAPY PLLC
Location Address2102 E MCLOUGHLIN BLVDVancouver, WA 98661-4130
Mailing Address2102 E Mcloughlin BlvdVancouver, WA 98661-4130
Organization SubpartNo
Authorized OfficialRyan IgguldenOwner · (360) 448-3544
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1114894417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
2102 E MCLOUGHLIN BLVD, Vancouver, WA 98661

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chore Provider
2102 E MCLOUGHLIN BLVD
VANCOUVER, WA 98661
Physical Therapy Assistant
2102 E MCLOUGHLIN BLVD
VANCOUVER, WA 98661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalize Physical Therapy PLLC's NPI number?

The NPI number for Revitalize Physical Therapy PLLC is 1114894417. It was assigned to this organization in the NPPES registry on October 21, 2025.

Where is Revitalize Physical Therapy PLLC located?

Revitalize Physical Therapy PLLC is located at 2102 E Mcloughlin Blvd, Vancouver, WA 98661. The listed phone number is (360) 448-3544.

What is Revitalize Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Revitalize Physical Therapy PLLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.